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2018/09/17 Black Shield Security Certificate of Liability Insurance (3)ACOROr CERTIFICATE OF LIABILITY INSURANCE II`-� DATE(MM/DDIYYYY) 9/12/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Jennifer Leroy El Dorado Insurance Agency, Inc. El Dorado Security Services Insurance Agency PHONE (713) 521-9251 FAX (713>sz1-o12s (AIC. No. Ext : AIC No ADDRESS:Jleroy@eldoradoinsurance.com PO BOX 66571 INSURERS AFFORDING COVERAGE NAIC# INSURERA:Crum & Forster Specialty Insurance 44520 Houston TX 77266 INSURED INSURER B : Black Shield Security INSURER C 11037 Warner Avenue ##228 INSURER D INSURER E INSURERF: Fountain Valley CA 92708 COVERAGES CERTIFICATE NUMBER:Blanket AI (9/18) REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN iSSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR I TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY NUMBER MMIDD/YYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 X MED EXP (Any one person) $ 10,000 Errors & Omissions X GLO-561044 9/17/2018 9/17/2019 _ PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- 'I X POLICY � JECT LOC OTHER: GENERAL AGGREGATE $ 3 , 000 , 000 I I City01 Menifee City Clerk I - COMP/OPAGG $ 1,000,000 rPRODUCTS $ AUTOMOBILE LIABILITY NOV U 2018 I COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS Receil ed BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR HCLAIMS-MADE I EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DED I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A I PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under I I , DESCRIPTION OF OPEP.ATIONS bo!ov: ' E.L. CiSJ;SE - FOLIC'! LIM1�iIT S I . DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) The General Liability policy includes a blanket automatic additional insured endorsement that provides additional insured status to the certificate holder only when there is a written contract between the named insured and the certificate holder that requires such status. Certificate holder to include: California State PTA, all units, councils and districts of the California State PTA and all of their officers, directors, members and Volunteers. Ur KIIt-ILAIt MULUtK UANL;tLLAI IUN City of Menifee 29714 Haun Road Menifee, CA 92586 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE R.L. Ring, Jr./JL03 l-T r ACORD 25 (2014/01) I NS025 (201401) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD